elthia

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All Content by elthia

  1. elthia

    Pulling Meds for Multiple Patients

    elthia replied to trustsupplyguy's topic in General Nursing

    Exactly...pulling meds from the pyxis does not equal pre pouring meds, or taking the meds out of their individually labelled blister packs. Heck I don't even crush meds until I check the pt's armband,...
  2. elthia

    DNR Orders Overturned By Doctors

    elthia replied to DaFreak71's topic in General Nursing

    I think that may depend upon the state. I know in some states EMS do NOT have to honor an Out of Hospital
  3. elthia

    DNR Orders Overturned By Doctors

    elthia replied to DaFreak71's topic in General Nursing

    My father lived with family....and he died in the middle of the month. The Department of Veteran's Affairs sued me and my siblings for a refund of his benefit checks for the month in which he died and...
  4. elthia

    Things you'd LOVE to be able to tell patients, and get away with it.

    elthia replied to AngelfireRN's topic in Patient, Colleague Relations

    When I help you off the toilet and say, "don't you want to wash your hands"... that wasn't a suggestion. And don't you dare touch my hair and tell me it's pretty after you just crapped and didn't...
  5. elthia

    Pulling Meds for Multiple Patients

    elthia replied to trustsupplyguy's topic in General Nursing

    I don't pull narcs because because even though I can lock my med cart, every employee on the floor knows the code to the med cart. That is why are computers are set up as mini med carts with lockable...
  6. elthia

    Does any other night shifters feel like days has no idea how nights works?

    elthia replied to thomask's topic in General Nursing

    The only comment I hate hearing was from a dayshifter who came in early for no reason. "well, all night shift does is sit at the nurses station until 0530 and then they scatter because they know the...
  7. elthia

    Does any other night shifters feel like days has no idea how nights works?

    elthia replied to thomask's topic in General Nursing

    That drives me CRAZY...why oh why oh why should I have to wake an pt on 24 hour obs for ACS III with great renal function, no IVF running and force him to pee. Now if his BUN/Cr was elevated,...
  8. elthia

    Pulling Meds for Multiple Patients

    elthia replied to trustsupplyguy's topic in General Nursing

    i understand...but as long as there are no narcotics/controlled substances that you have signed for, what is the danger of other personnel having access to the meds by knowing the access code? meds...
  9. elthia

    Pulling Meds for Multiple Patients

    elthia replied to trustsupplyguy's topic in General Nursing

    I do not take the meds from one pt into another pt's room in a baggie. The meds are locked into the med drawers of the computer on wheels/med cart I take with me from room to room per hospital...
  10. elthia

    Not enough attention to BMs in nursing today!

    elthia replied to FireStarterRN's topic in General Nursing

    I work 12 hour nights. When I assess everyone between 1930-2030 I ask them when was their last bm. If it's been more than 2 days and the pt is on narcs, the pt has a choice, laxative now or prune...
  11. elthia

    Pimples, blackheads and acne

    elthia replied to weirdRN's topic in General Nursing

    For the true fanatic http://www.beautytweezers.com/showcase.asp?ID=806 Me and DH own one similar that we picked up at bed bath and beyond...love it. I suffer from really bad back acne...and since...
  12. elthia

    Families from Hell

    elthia replied to traumamomtx30's topic in General Nursing

    Families that advocate for their loved ones are one thing. Families that start off yelling at me the moment I walk in the door and say "hi, my name is..."That really irritates me, but I usually then...
  13. elthia

    Pulling Meds for Multiple Patients

    elthia replied to trustsupplyguy's topic in General Nursing

    I work on a unit that has hallways that are anywhere from 140-400 feet long, and I take anywhere from 5-7 patients. I pull each pt's med from the pyxis and compare it to the MAR, put it in a bag with...
  14. elthia

    DNR bracelet with DNR written on it. HIPAA???

    elthia replied to FireStarterRN's topic in HIPAA Challenges

    http://www.hhs.gov/hipaafaq/administrative/200.html For example, the Privacy Rule does not prohibit covered entities from engaging in the following practices, where reasonable precautions have been...
  15. elthia

    DNR bracelet with DNR written on it. HIPAA???

    elthia replied to FireStarterRN's topic in HIPAA Challenges

    Then again, we can always go to the source. (emphasis mine) Are physicians and doctor's offices prohibited from mantaining patient medical charts at bedside or outside of exam rooms, or from engaging...
  16. elthia

    DNR bracelet with DNR written on it. HIPAA???

    elthia replied to FireStarterRN's topic in HIPAA Challenges

    Speaking as a daughter, not as a nurse. When my father was in the hospital, and he was a DNR. If he had been off of his floor for tests and had gone into cardiorespiratory arrest, and someone had...
  17. elthia

    Rapid Response Team and Families

    elthia replied to Grumpy's Girl's topic in MICU, SICU

    I utilize RRT at my hospital with good results...sometimes just to confer...you know, hey I got a pt with SIRS, and he looks like he's getting ready to go septic, do you agree? or this lady is going...
  18. elthia

    The most expensive, silly or cheap gifts you received from your hospital

    elthia replied to Shantas's topic in General Nursing

    One year I got a write up from my nurse manager, seriously. At my old job, the management did nothing for the staff that year. My shift took it upon ourselves to have a potluck. At the end of the...
  19. elthia

    Families from Hell

    elthia replied to traumamomtx30's topic in General Nursing

    I took care of a pt last week with a family like that. I directed my questions toward the pt. the conversation went like this. Me: When was your last bowel movement? Pt: Yesterday. Sister: His last...
  20. elthia

    Silliest thing you ever did after a long shift...

    elthia replied to elizabells's topic in General Nursing

    prepping for thanksgiving this am after work...nearly sliced the tip of a finger off... burst out crying...not because it hurt...I wasn't sure I could steristrip it back together and I AM NOT GOING...
  21. elthia

    Silliest thing you ever did after a long shift...

    elthia replied to elizabells's topic in General Nursing

    I fell asleep in the car in the garage...thank goodness I had turned the car off. When my father was recieving chemotherapy, sometimes I'd work 12 hours, get off work, take him to the chemo clinic...
  22. elthia

    IV Piggybacks

    elthia replied to poppy07's topic in General Nursing

    Definitely read your P&P's...I have worked in hospitals where it was against policy to use a flush bag with piggybacks if the pt did not have maintainence fluids running, i.e. if all the pt had...
  23. elthia

    What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    elthia replied to yazisizit's topic in Nursing Humor

    This isn't a pt story, it happened to me. After eating a lovely dinner of mixed fajitas...a thunderstorm rolled in, and I got a whopper of a migraine with violent n/v. Well, I could not get the smell...
  24. elthia

    nurses as patients

    elthia replied to danggirl's topic in General Nursing

    I don't have to tell the nurses I'm a nurse, my doctors know I'm a nurse, and they tell the nurses for me. I'm not a 30 y/o female in my H&P, I'm a 30y/o Nurse, I know, I've read a copy of my...
  25. elthia

    What's the dumbest thing you ever got called on the carpet for?

    elthia replied to AngelfireRN's topic in General Nursing

    I offended a pt by using the phrase "I want you to understand" when teaching him about his medication therapy. It was a horrible big mess, and a big write up by the nursing supervisor